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APPLICATIOAFOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 96201 • 259-NIO <br />❑ DEMOLITION Li COMBINATION J$ BUILDING ❑ MECHANICAL F] PLUMBN G f7 SIGN <br />PROJECT ADDRESS: <br />YN.LPrf55 an Lin MANE <br />/)rnni5 ..5A3i7/A 3�dU_�_c1i`_�r�C& J��/ — <br />It . , um AM"Css Grr tro nOR <br />J <br />covTnACT 7(o Q %J or) <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />o[xTreF wu1S ANo sou.Tl[ rooT.cE NYRvro <br />770X �i1[1 LZS <br />nNT•cT nusaw Ano nloNE xD <br />O <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION, THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOM LAW IB 27 RCW AND 2%200 WAC <br />X �iCM 1 % AO' / <br />SIONA� DATE <br />lwKKosrD usF a awawD T <br />j G- <br />IFc.E OEscgroTKN Dr MaPFKTY IsIIaNwEXEON to ARAcx TNODDPX51 <br />IEP ,Yr J Nm, �_p /7/U(-��/ �J <br />,/ <br />V o , <br />PAIICEE rAs l o ASIu%q <br />Cb15Fr1ULFgN10r.N 1[MRn.A0011E55. «IEArS1FMNKR <br />GIY K19MSS lC[NS[ MI <br />►LUMMNO <br />MECHANICAL <br />NO. TYPE OF EOUMMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />AIC—AMNOLD UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FI REPLACE INSERT WOOD BURNING) <br />FLOOR GRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />64S PIPING <br />EXHAUST FAN <br />SUB TOTAL f <br />SUBTOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />TOTAL FEE f <br />FOR OFFICE LICE ONLY: /i,/ 'T <br />'"YSET"A:w—__—_DrAnstim,, <br />SIa Sum. <br />r <br />nrfrMT wO <br />s <br />m <br />USE wf <br />wTAPFA <br />_ <br />V•CAwi 51« <br />FEES <br />VALUATION <br />FEE <br />oIAI— <br />13 <br />cooCA <br />❑rn o'«o <br />wGau uW rAUDI <br />m'- EANT— <br />SUE U ryM p l <br />'•I . BL.DG , <br />umrs <br />L46 <br />PuwnNO <br />--1-- <br />oaDPANcr wnul.Ns <br />acclvAxTEwo <br />eASE•Kwr <br />ufcwrntu <br />cqo 0 <br />❑rrs TLwn <br />1 <br />ADp11DMAl R.w C11rCM <br />� <br />rH1F 6VMFwlfn120D <br />M+SOY <br />MUFTI <br />1� <br />IMENNW niO'D <br />xf ASDw <br />SIKICn+�[ <br />TT�� <br />�']L� <br />S1A1[BIApNK <br />�. <br />nrt Ur C.ENST <br />MANS APMmfo er <br />CITY OF EVERETT <br />nml K.vron+S <br />LOCAL SALES <br />7ouLYZ <br />-- <br />�— <br />ouL 21 <br />TAX CODE IS 3105 <br />